Advance Care Planning: Whose Conversation is it Anyway?
|
|
- Noreen Griffin
- 5 years ago
- Views:
Transcription
1 CNA Webinar Series: Progress in Practice Advance Care Planning: Whose Conversation is it Anyway? Louise Hanvey Registered nurse, project director, advance care planning expert, content strategist May 24, 2016
2 The information and views in this webinar are those of the presenter(s) and do not necessarily reflect the official opinion of the Canadian Nurses Association.
3 Josette Roussel, RN, MSc, M.Ed. Senior Nurse Advisor Policy, Advocacy and Strategy Canadian Nurses Association
4 Louise Hanvey, RN, BN, MHA Project Director, Advance Care Planning in Canada Canadian Hospice Palliative Care Association
5 Objectives of the webinar What is advance care planning (ACP)? Why is it important? What is the nurse s role to engage Canadians in ACP? How is it done? What are some of the available resources on ACP?
6 Advance care planning A process of reflection on values and wishes The communication of wishes (verbal, written or otherwise) when you are capable A way to let others know your future health and personal care wishes The consideration of who will speak for you when you are no longer capable of directing your care your substitute decision-maker
7 What do we know about living and dying? Canadians are living longer Only 10% of Canadians die suddenly The other 90% need care and support as they approach death Many cannot make decisions for themselves
8 Most Canadians die of a chronic illness Other 27% Cancer 28% Heart 35% Lung 10%
9 Of 3,746 people who died in hospital Did not require decision-making 58% Required decision-making 42% Lacked capacity 70% Had capacity 30% Source: Advance Directives and Outcomes of Surrogate Decision Making Before Death
10 Why take part in advance care planning? Individuals who engaged in ACP and/or appointed a substitute decision-maker: Are much more likely to have their end-of-life wishes known and followed Have family members who had significantly less stress and depression Are more satisfied, as were their families and substitute decision-makers
11 What we know Individuals who engaged in ACP and/or appointed a substitute decision-maker: Have fewer life-sustaining procedures and lower rates of intensive care unit (ICU) admissions Have a better quality of life and death Have less costly care in last weeks of life
12 What we know The ACCEPT study: 75% of patients had thought about their wishes 85% had talked to someone about them 70% had designated a substitute decision-maker Only 25% were asked on admission to hospital whether they had previously discussed their wishes Only 30% of documented goals of care were congruent with expressed wishes
13 What we know 86% of Canadians have not heard of advance care planning. 60% of Canadians think it s important to talk about wishes for end-of-life care But only 45% have had a conversation with anyone Harris Decima Poll, 2014 for The Way Forward initiative of the Canadian Hospice Palliative Care Association Source: Harris Decima Poll, 2014
14 Why do Canadians not engage in advance care planning? Don t want to upset family: 48% Afraid of death: 45% Creeped out by the conversation: 38% Feeling healthy and don t have to: 43%
15 The role of nurses in advance care planning Nurses provide care To Canadians who are healthy along with those who are diagnosed with chronic and life-limiting illnesses Across the life span Across all settings
16 Nurses play a key role by Initiating conversations Honouring values and health-care wishes Advocating for and supporting people Joint Position Statement on the Palliative Approach to Care and the Role of the Nurse. Canadian Nurses Association and the Canadian Hospice Palliative Care Association Source: The Palliative Approach to Care and the Role of the Nurse (joint position statement)
17 The nurse s role To encourage people engage in ACP a process of reflection and communication To help people express their wishes for future care including that received at the end-of-life To ensure significant others and substitute decision-makers know their loved one s wishes
18 What do Canadians say? 88% of Canadians are comfortable talking with nurses about end-of-life care 90% of Canadians trust nurses
19 What do nurses say? Six in 10 nurses believe that people should start ACP when they are healthy. 44% of nurses say they would definitely start this conversation, given training and resources. Two thirds (68%) of nurses have discussed ACP with their patients. Source: What Canadians Say: The Way Forward Survey Report
20 What we know 18% of nurses working in primary care are experienced and comfortable discussing ACP with their patients and another 51% are somewhat comfortable. Source: What Canadians Say: The Way Forward Survey Report
21 What we know Nurses need: Information Materials for patients Guidelines on when and how
22 Who needs to do advance care planning? Everyone You never know when you may face an unexpected event or illness and will be unable to make your preferences known. You may hope that you will be able to communicate until the very end, but this is not possible for most deaths.
23 The conversation Central to advance care planning is the conversation to discuss wishes with family, friends, substitute decision-makers and health-care providers. Conversations should begin early while we are healthy and certainly at the time of diagnosis of a chronic illness.
24 Without a conversation I didn t expect him to die so soon. My husband resisted talking about dying and after 40 years of marriage I feel he let me down by not opening up and I guess I let him down for not knowing how to talk about some of the things that I needed to discuss. It would have been nice closure if things had been different in the end. I can never get that time back. CANHELP study participant
25 Advance care planning in 5 steps Think Learn Decide Talk Record
26 Advance care planning in 5 steps Step 1: Think Think about your values, wishes and beliefs. Consider how much you understand about your care and specific medical procedures.
27 Advance care planning in 5 steps Step 2: Learn Learn about different medical procedures and what they can and can t do.
28 Advance care planning in 5 steps Step 3: Decide Decide who will be your substitute decision-maker. It should be someone who is willing and able to speak for you if you can t speak for yourself.
29 Advance care planning in 5 steps Step 4: Talk Talk about your wishes with your substitute decision maker, loved ones and your health-care provider(s).
30 Advance care planning in 5 steps Step 5: Record Record your wishes. It s a good idea to write down or make a recording of your wishes.
31 Resources Partnership between the CHPCA and CARENET Overseen by a national task group interprofessional and representing many jurisdictions Funding has come from the Canadian Partnership Against Cancer, CIHR, Prostate Cancer Canada, Health Canada, GlaxoSmithKline Launched the Speak Up campaign to engage people and raise awareness about the need to discuss end-of-life care
32 Speak Up campaign Initiative to promote and facilitate ACP in Canada Tools are available on a website for the public, professionals and community organizations/agencies
33 Raising awareness Social media Media engagement Seasonal campaigns Infographics Videos Blogs, PSAs, templates Champions
34 Resources for patients, families & nurses Workbooks (print and online) Videos Wallet cards Provincial and territorial resources Cancer-specific tools Just Ask conversation card Primary care toolkit
35 Workbook for patients & families Think and write about your values and beliefs. Learn about end-of-life care and medical procedures. Write about your preferences for care. Share with your substitute decision-maker, family and health-care team.
36 Wallet card
37 Resources in provinces/territories
38 Cancer-specific resources
39 Just Ask conversation card
40 Primary care toolkit Posters Infographics Handouts for patients Info sheet for providers Workbook Videos
41 Let s talk Have you thought about your values and wishes? Have you talked with others about your wishes? Have you decided on your substitute decision-maker?
42 Thank you! It s about conversations. It s about wishes. It s how we care for each other.
43 Additional reading and references Canadian Hospice Palliative Care Association. (2013). What Canadians say: The Way Forward survey report [Ipsos Reid]. Ottawa: Author. Retrieved from %20Survey%20Report%20Final%20Dec% pdf Canadian Nurses Association & Canadian Hospice Palliative Care Association. (2015). The palliative approach to care and the role of the nurse [joint position statement]. Ottawa: Authors. Retrieved from Davison, S.N., & Simpson, C. (2006). Hope and advance care planning in patients with end stage renal disease: Qualitative interview study. BMJ (333). Retrieved from Detering, K.M., Hancock, A.D., Reade, M.C., & Silvester, W. (2010). The impact of advance care planning on end of elderly patients: Randomised controlled trial. BMJ (340). Retrieved from Harle, I., Johnston, J., Mackay, J., Mayer, C., Russell, S., & Zwaal, C. (2008). Advance care planning with cancer patients. Toronto: Program in Evidence-Based Care, Cancer Care Ontario. Heyland, D.K., Barwich, D., Pichora, D., Dodek, P., Lamontagne, F., You, J.J., Tayler, C., Poerterfield, P., Sinuff, T., & Simon, J., for the ACCEPT study team and CARENET. (2013). Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA Internal Medicine, E1-10. Retrieved from Silveira, M.J., Kim, S.Y.H., & Langa, K.M. (2010). Advance directives and outcomes of surrogate decision making before death. New England Journal of Medicine, 362, Retrieved from Wright, A.A., et al. (2008). Associations between end-of-life discussions, health care expenditures. Journal of the American Medical Association, 300(14), Retrieved from Zhang, B., et al. (2009). Health care costs in the last week of life: Associations with end of life conversations. Archives of Internal Medicine, 169(3), Retrieved from
44 Louise Hanvey Josette Roussel For More Information
45 Upcoming webinar Stay tuned for the next set of webinars to be announced in August
46 Thank you!
Advance Care Planning: Backgrounder. OMA s End-of-Life Care Strategy April 2014
Advance Care Planning: Backgrounder OMA s End-of-Life Care Strategy April 2014 Definition/Legal Foundation Advance care planning (ACP) is a process of considering, discussing and planning for future health
More informationCancer and Advance Care Planning. Tips for Oncology Professionals
Cancer and Advance Care Planning Tips for Oncology Professionals Each year, more than 74,000 Canadians die with cancer. When To Have the Discussion...5 Questions to Ask...6 Steps in Initiating and Having
More informationCHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada.
CHPCA appreciates and thanks our funding partner GlaxoSmithKline for their unrestricted funding support for Advance Care Planning in Canada. For more information about advance care planning, please visit
More informationAdvance Care Planning: the Clients Perspectives
Dr. Yvonne Yi-wood Mak; Bradbury Hospice / Pamela Youde Nethersole Eastern Hospital Correspondence: fangmyw@yahoo.co.uk Definition Advance care planning [ACP] is a process of discussion among the patient,
More informationMake changes to palliative and end-of-life care in Canada
CNA Webinar Series: Progress in Practice Make changes to palliative and end-of-life care in Canada Louise Hanvey Louise Hanvey Consulting March 10, 2014 Canadian Nurses Association, 2012 Jill Norman, RN,
More informationAdvance Care Planning and Goals of Care
Advance Care Planning and Goals of Care A Guide For Patients with A Serious Illness and Their Families Nova Scotia Edition www.nshpca.ca Receiving a diagnosis of a serious illness can be life altering.
More informationAdvance Care Planning in Ontario A Quality Improvement Toolkit
Advance Care Planning in Ontario A Quality Improvement Toolkit Introduction What is the Advance Care Planning (ACP) Quality Improvement Toolkit? In January 2013, the Ministry of Health and Long Term Care
More informationRIGHTS OF PASSAGE A NEW APPROACH TO PALLIATIVE CARE. INSIDE Expert advice on HIV disclosure. The end of an era in Afghanistan
Publications Mail Agreement Number 40062599 NOVEMBER 2013 VOLUME 109 NUMBER 9 RIGHTS OF PASSAGE A NEW APPROACH TO PALLIATIVE CARE INSIDE Expert advice on HIV disclosure The end of an era in Afghanistan
More informationAdvance Care Planning: Goals of Care - Calgary Zone
Advance Care Planning: Goals of Care - Calgary Zone LOOKING BACK AND MOVING FORWARD PRESENTERS: BEV BERG, COORDINATOR CHANDRA VIG, EDUCATION CONSULTANT TRACY LYNN WITYK-MARTIN, QUALITY IMPROVEMENT SPECIALIST
More informationStrengthen your ethical practice: Care at end of life
CNA Webinar Series: Progress in Practice Strengthen your ethical practice: Care at end of life Janet Storch Professor Emeritus School of Nursing, University of Victoria January 26, 2016 Canadian Nurses
More informationAdvance Care Planning Workbook Ontario Edition
Advance Care Planning Workbook Ontario Edition Speak Up Ontario c/o Hospice Palliative Care Ontario, 2 Carlton Street, Suite 808, Toronto, Ontario M5B 1J3 Who will speak for you? Start the conversation.
More informationADVANCE CARE PLANNING CONVERSATIONS MATTER GOALS OF CARE DESIGNATIONS
ADVANCE CARE PLANNING CONVERSATIONS MATTER GOALS OF CARE DESIGNATIONS 1 Objectives Advance Care Planning (ACP) What is it? Why? For Who? Personal directives Advance Care Planning in the healthcare system
More informationAdvance Care Planning in Canada: Synthesis of Tools. March 22, 2010
Advance Care Planning in Canada: Synthesis of Tools March 22, 2010 Acknowledgements: This document was prepared to support Advance Care Planning in Canada: National Framework Meeting 2010. The meeting
More informationExample Policy and Procedure: Implementation of Advance Care Planning in Residential Aged Care Facilities
Metro South Palliative Care Service Example Policy and Procedure: Implementation of Advance Care Planning in Residential Aged Care Facilities Improving end-of-life care for residential aged care residents
More informationExploring Your Options for Palliative Care
Exploring Your Options for Palliative Care A guide for patients and families Inside this booklet Question Page What is palliative care? 1 When should I receive palliative care? 2 Where can I receive palliative
More informationHospice Palliative Care
Position Statement Hospice Palliative Care A Position Statement September 2011 HOSPICE PALLIATIVE CARE: A SEPTEMBER 2011 i Approved by the College and Association of Registered Nurses of Alberta () Provincial
More informationPalliative and End-of-Life Care
Position Statement Palliative and End-of-Life Care A Position Statement Month Year PALLIATIVE AND END-OF-LIFE CARE MONTH YEAR i Approved by the College and Association of Registered Nurses of Alberta ()
More informationAdvance Care Planning in Canada: National Framework. for Consultation November, 2010
Advance Care Planning in Canada: National Framework for Consultation November, 2010 Advance Care Planning in Canada: National Framework ii This Advance Care Planning in Canada: National Framework and Implementation
More informationQuality of Life Conversation On Advance Care Planning
Quality of Life Conversation On Advance Care Planning Information Packet Page 1 About the Integrated Healthcare Association The nonprofit Integrated Healthcare Association (IHA) convenes diverse stakeholders,
More informationPatient Reference Guide. Palliative Care. Care for Adults
Patient Reference Guide Palliative Care Care for Adults Quality standards outline what high-quality care looks like. They focus on topics where there are large variations in how care is delivered, or where
More informationEnd of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces.
End of Life Terminology The definitions below applies within the province of Ontario, terms may be used or defined differently in other provinces. Terms Definitions End of Life Care To assist persons who
More informationAdvance Care Planning in Canada: National Framework. January, 2012
Advance Care Planning in Canada: National Framework January, 2012 Advance Care Planning in Canada: National Framework ii This Advance Care Planning in Canada: National Framework and Implementation was
More informationHealth Care Consent & Advance Care Planning in Ontario. What You Need to Know. Health Care Consent Advance Care Planning Community of Practice
Health Care Consent & Advance Care Planning in Ontario What You Need to Know Health Care Consent Advance Care Planning Community of Practice Welcome Introductions Webinar Instructions If you have a mute
More informationWhen to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation. A Guide for Patients and Family
When to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation A Guide for Patients and Family This booklet will help answer your questions about deactivating the shock function of an ICD.
More informationWhen to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation. A Guide for Patients and Family
When to Consider Implantable Cardioverter Defibrillator (ICD) Deactivation A Guide for Patients and Family This booklet will help answer your questions about deactivating the shock function of an ICD.
More informationNursing Contribution to End-of-Life Care Decisions and Medical Assistance in Dying in Canada
Nursing Contribution to End-of-Life Care Decisions and Medical Assistance in Dying in Canada Josette Roussel, RN, MSc, M.Ed. Senior Nurse Advisor Canadian Nurses Association Outline Why did CNA developed
More informationDeciding Tomorrow... TODAY. Provider s Guide
Deciding Tomorrow... TODAY. Provider s Guide No one should end the journey of life alone, afraid or in pain. Deciding Tomorrow Today is a program and toolkit developed by Nathan Adelson Hospice. The purpose
More informationAdvance Care Planning Exploratory Project. Rhonda Wiering, MSN, RN,BC, LNHA Regional Director, Quality Initiatives Avera Health October 18, 2012
Advance Care Planning Exploratory Project Rhonda Wiering, MSN, RN,BC, LNHA Regional Director, Quality Initiatives Avera Health October 18, 2012 Agenda Overview of the Advance Care Planning Exploration
More informationAdvance Care Planning Workbook
Advance Care Planning Workbook Prince Edward Island Edition It s about conversations. It s about decisions. It s how we care for each other. It s about having a say in your health care. www.healthpei.ca/advancecareplanning
More information10 Years Later: A Progress Report on the Blueprint for Action 2000
10 Years Later: A Progress Report on the Blueprint for Action 2000 Quality End-of-Life Care Coalition of Canada Members ALS Society of Canada Alzheimer Society of Canada Canadian AIDS Society Canadian
More informationtransitions in care what we heard
transitions in care what we heard Early in 2018, Health Quality Ontario asked Ontarians a simple question: what affected your transition from hospital to home? Good and bad. Big and small. We wanted to
More informationCynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee
Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee What is Advance Care Planning (ACP)? Understanding/clarifying
More informationAdvance Care Planning Conversations and Goals of Care Discussions: Understanding the Difference
March 16, 2017 Advance Care Planning Conversations and Goals of Care Discussions: Understanding the Difference Jeff Myers MD, MSEd, CCFP(PC) Nadia Incardona MD, MHSc, CCFP(EM) WHY this is timely JAMA,
More informationDesigning an Advance Care Planning System that Shapes Hospital Utilization
Designing an Advance Care Planning System that Shapes Hospital Utilization This slide presentation is a copyright of Gundersen Lutheran Medical Foundation, Inc., 2014 2016. All Rights Reserved v4.16 1
More informationAdvance Care Planning (and more)
Advance Care Planning (and more) Tessa & Josie Karl Steinberg, MD, CMD,HMDC @karlsteinberg, karlsteinberg@mail.com WWW.COALITIONCCC.ORG Advance Care Planning ACP is a process that unfolds over a life span
More informationDid You Know? The Strategic and Compassionate Employer: How Compassionate Care Leave Policies can Improve Employee Retention and Engagement
The Strategic and Compassionate Employer: How Compassionate Care Leave Policies can Improve Employee Retention and Engagement PRESENTATION TO THE HRPA 2015 CONFERENCE SHARON BAXTER, EXECUTIVE DIRECTOR,
More informationADVANCE CARE PLANNING: WHY, HOW, AND IMPACT ON THE TRIPLE AIM
ADVANCE CARE PLANNING: WHY, HOW, AND IMPACT ON THE TRIPLE AIM John Fox MD, MHA AVP Medical Affairs, Priority Health MCM Board Member Carol Robinson DNP, MS, BSN, RN, CHPN Community Coordinator, MCM OBJECTIVES
More informationHospice Care for anyone considering hospice
A decision aid for Care for anyone considering hospice You or a loved one have been diagnosed with a serious illness that might not be curable. Many people find this scary or confusing. Some people feel
More informationONLINE FIRST Failure to Engage Hospitalized Elderly Patients and Their Families in Advance Care Planning. paradox in modern medicine
JOBNAME: IMD XML PAGE: 1 SESS: 2 OUTPUT: Mon Feb 18 09:42:56 2013 ORIGINAL INVESTIGATION DRAFT ONLINE FIRST Failure to Engage Hospitalized Elderly Patients and Their Families in Advance Care Planning Daren
More informationEnvironmental Scan for Strengthening End-of-Life Care Across the Continuum. Evidence and Practice
Environmental Scan for Strengthening End-of-Life Care Across the Continuum Evidence and Practice Report of the Residential Hospice Working Group January 2015 Table of Contents PART I: POLICY ENVIRONMENT...
More informationDWD Canada Toolkit: Ontario Ministry of Health and Long-Term Care Consultation on Doctor-Assisted Dying
DWD Canada Toolkit: Ontario Ministry of Health and Long-Term Care Consultation on Doctor-Assisted Dying Last summer, the Ontario government joined forces with 10 other provincial and territorial governments
More informationAdvance Care Planning: Getting started
Advance Care Planning: Getting started This booklet has been designed by Advance Care Planning Australia to support you in the process of developing an Advance Care Directive. We encourage you to refer
More informationCNA at work for nurses in Canada
CNA at work for nurses in Canada We care because you care Advocacy. Knowledge. Benefits. Because you care about your profession We advocate for nursing The Canadian Nurses Association (CNA) works with
More informationAdvance Care Planning in the Renal setting
Advance Care Planning in the Renal setting Part 1: Understanding the Process Version: Feb. 4, 2013 Disclaimer We are in agreement with sharing the following Advance Care Planning materials. We assume no
More informationTalking to Your Doctor About Hospice Care
Talking to Your Doctor About Hospice Care Death and dying subjects that were once taboo in our culture are becoming increasingly relevant as more Americans care for their aging parents and consider what
More informationCLEONet. for community workers and advocates who work with low income and disadvantaged communities in Ontario.
This webinar is brought to you by CLEONet www.cleonet.ca ca CLEONet is a web site of legal information for community workers and advocates who work with low income and disadvantaged communities in Ontario.
More informationpeace of mind. Advance care planning document and instructions are enclosed for:
ACP Honoring Choices Booklet_Self Cover 16 PAGES 2-COLOR 01.12.17.qxd_Layout 1 2017-01-12 11:09 Page 3 I choose peace of mind. Take time to plan ahead now so future health care challenges don t create
More informationStart2Talk PLANNING AHEAD: COMMUNITY EDUCATION RESOURCE KIT
Start2Talk PLANNING AHEAD: COMMUNITY EDUCATION RESOURCE KIT Scenarios: Planning ahead including advance care planning (ACP) and substitute decision making (SDM) Acknowledgements: This project was funded
More informationDurable Power of Attorney for Health Care
Durable Power of Attorney for Health Care Introduction Advance directives are instructions you give your doctors telling them what kinds of medical care you do or do not want if you become unable to make
More informationLiving Wills and Other Advance Directives
UW MEDICINE PATIENT EDUCATION Living Wills and Other Advance Directives Writing down your choices for health care for times when you cannot speak for yourself This handout gives basic information about
More informationDear members, colleagues and stakeholders
017 YEAR IN REVIEW A MESSAGE FROM THE BOARD OF DIRECTORS Dear members, colleagues and stakeholders I am pleased to present the 017 year in review. The year marked a very important period of renewal in
More informationDecision-making and mental capacity
1 2 3 NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE DRAFT GUIDELINE 4 5 Decision-making and mental capacity 6 7 8 [Issue date: month/year] Draft for consultation, December 2017 Decision-making and
More informationDementia and End-of-Life Care
Dementia and End-of-Life Care Part IV: What practical information should I know? About this resource The needs of people with dementia at the end of life* are unique and require special considerations.
More informationMEDICAL ASSISTANCE IN DYING. Information for Patients
MEDICAL ASSISTANCE IN DYING Information for Patients GETTING THE RIGHT HELP Death and dying can be difficult subjects to think and talk about. If you are thinking about medical assistance in dying, talk
More informationThe Impact of Resident Education on Advance Directive Documentation and Resident Knowledge of Advanced Care Planning
The Impact of Resident Education on Advance Directive Documentation and Resident Knowledge of Advanced Care Planning A. Study Purpose and Rationale Ever since the Patient Self-Determination Act of 1990
More informationAdvance Care Planning: Just Do It!
Advance Care Planning: Just Do It! And why your Nurse Practitioner is smarter than you Monica Williams-Murphy, MD Board Certified Emergency Physician Huntsville Hospital Medical Director for Advanced Care
More informationE-Learning Module A: Introduction to CAPCE and the Nurse s Role in Hospice Palliative Care
E-Learning Module A: Introduction to CAPCE and the Nurse s Role in Hospice Palliative Care This module requires the learner to have read chapter 1 and 2 of the CAPCE Program Guide and the other required
More informationChapter 2. Advance Care Planning
Chapter 2 Advance Care Planning Chapter 2: Advance Care Planning Discussing Advance Directives with Your Patients Advance care planning allows patients to indicate how they want to be treated if they
More informationHaving the End of Life Conversation: Practical Concepts for Advocacy Within the Continuum of Care
Having the End of Life Conversation: Practical Concepts for Advocacy Within the Continuum of Care July 24, 2012 Presented by: Cindy Campbell RN, BSN Associate Director, Operational Consulting Fazzi Associates
More informationSafe Nurse Staffing LEADS the Way to Quality Care
Safe Nurse Staffing LEADS the Way to Quality Care Norma Freeman, RN, MS Nurse Advisor Canadian Nurses Association Alice Kennedy, RN, BN, MBA, FCCHL, FCHSRF Vice President Eastern Health, NL National Health
More informationPalliative Care. Care for Adults With a Progressive, Life-Limiting Illness
Palliative Care Care for Adults With a Progressive, Life-Limiting Illness Summary This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for
More information2018 PRE-BUDGET CONSULTATION
SUBMISSION 2018 PRE-BUDGET CONSULTATION Submission to the Standing Committee on Finance August 2017 CNA is the national professional voice of over 139,000 registered nurses and nurse practitioners across
More informationProduced by The Kidney Foundation of Canada
85 PEACE OF MIND You have the right to make decisions about your own treatment, including the decision not to start or to stop dialysis. Death and dying are not easy things to talk about. Yet it s important
More informationmunsonhealthcare.org/acp
Advance Care Planning Workbook Making Your Medical Wishes Known Advance Care Planning Workbook 1 munsonhealthcare.org/acp Making Your Medical Wishes Known At any age, a medical crisis could leave someone
More informationImproving the Last Stages of Life Preliminary Feedback from Law Reform Consultations in Ontario
Improving the Last Stages of Life Preliminary Feedback from Law Reform Consultations in Ontario Ryan Fritsch, Project Lead ICEL2 Conference Halifax September 2017 LCO s Improving Last Stages of Life Project
More informationADVANCE CARE PLANNING IN CANADA: A National Framework and Implementation National Roundtable Proceedings April 30, 2009
ADVANCE CARE PLANNING IN CANADA: A National Framework and Implementation National Roundtable Proceedings April 30, 2009 Production of Advance Care Planning in Canada: National Roundtable Proceedings has
More informationMedical Assistance in Dying (MAID) at UHN
Medical Assistance in Dying (MAID) at UHN For patients and caregivers who want to know more about MAID at UHN. Please visit the UHN Patient Education website for more health information: www.uhnpatienteducation.ca
More informationCLEONet. for community workers and advocates who work with low income and disadvantaged communities in Ontario.
This webinar is brought to you by CLEONet www.cleonet.ca ca CLEONet is a web site of legal information for community workers and advocates who work with low income and disadvantaged communities in Ontario.
More informationHealthStream Regulatory Script
HealthStream Regulatory Script Advance Directives Version: [May 2006] Lesson 1: Introduction Lesson 2: Advance Directives Lesson 3: Living Wills Lesson 4: Medical Power of Attorney Lesson 5: Other Advance
More informationThank you for your interest in completing an Advance Directive.
Advance Directives Thank you for your interest in completing an Advance Directive. Writing an Advance Directive is an opportunity to direct your future health needs in advance of an illness or crisis.
More informationYOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE
YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE YOUR RIGHT TO DECIDE Communicating Your Health Care Choices In 1990, Congress passed the Patient Self-Determination Introduction Act. It requires
More informationAdvance Care Planning Communication Guide: Overview
Advance Care Planning Communication Guide: Overview The INTERACT Advance Care Planning Communication Guide is designed to assist health professionals who work in Nursing Facilities to initiate and carry
More informationPhysician assisted dying: Perspectives from the CMA. Dr. Jeff Blackmer MD, MHSc, FRCPC Vice-President, Medical Professionalism, CMA October 2015
Physician assisted dying: Perspectives from the CMA Dr. Jeff Blackmer MD, MHSc, FRCPC Vice-President, Medical Professionalism, CMA October 2015 Outline Provide a brief update on the current Canadian legal
More informationEnd-of-Life Care Action Plan
The Provincial End-of-Life Care Action Plan for British Columbia Priorities and Actions for Health System and Service Redesign Ministry of Health March 2013 ii The Provincial End-of-Life Care Action Plan
More informationMollie Butler, RN PhD Regional Director Professional Practice
Advancing Innovation, Engagement & Learning through the Development & Implementation of a New E- Learning Platform between Eastern Health & Saint Elizabeth Mollie Butler, RN PhD Regional Director Professional
More informationDecision-making and mental capacity
Decision-making and mental capacity NICE guideline: short version Draft for consultation, December 0 This guideline covers decision-making in people over. it aims to help health and social care practitioners
More informationThe California End of Life Option Act (Patient s Request for Medical Aid-in-Dying)
Office of Origin: I. PURPOSE II. III. A. The California authorizes medical aid in dying and allows an adult patient with capacity, who has been diagnosed with a terminal disease with a life expectancy
More informationObjectives. Integrating Palliative Care Principles into Critical Care Nursing
1 Integrating Palliative Care Principles into Critical Care Nursing It s the Caring, Compassionate, Holistic, Patient and Family Centered, Better Communication, Keeping my patient comfortable amidst the
More informationADVANCE CARE PLANNING GOALS OF CARE CONVERSATIONS MATTER A GUIDE FOR MAKING HEALTHCARE DECISIONS
ADVANCE CARE PLANNING GOALS OF CARE CONVERSATIONS MATTER A GUIDE FOR MAKING HEALTHCARE DECISIONS What is Advance Care Planning? Advance Care Planning is a way to help you think about, talk about and document
More informationIT S TIME TO TALK: Advance Care Planning in British Columbia. A Policy Paper by BC s Doctors March 2014
IT S TIME TO TALK: Advance Care Planning in British Columbia A Policy Paper by BC s Doctors March 2014 115-1665 West Broadway Vancouver BC V6J 5A4 doctorsofbc.ca Doctors of BC s Council on Health Economics
More informationMedical Assistance in Dying
College of Physicians and Surgeons of Ontario POLICY STATEMENT #4-16 Medical Assistance in Dying APPROVED BY COUNCIL: REVIEWED AND UPDATED: PUBLICATION DATE: KEY WORDS: RELATED TOPICS: LEGISLATIVE REFERENCES:
More informationAwareness and Acceptance of the Nurse Practitioner Role in One BC Health Authority
online exclusive 101 Awareness and Acceptance of the Nurse Practitioner Role in One BC Health Authority Linda Sawchenko, RN, MScHA Regional Practice Leader, Advanced and Interprofessional Practice, Interior
More informationGetting the End of Life Care You Want: A PATIENT S GUIDE TO PERSONAL ADVOCACY WITH DOCTORS, HEALTHCARE SYSTEMS AND HOSPICE
Getting the End of Life Care You Want: A PATIENT S GUIDE TO PERSONAL ADVOCACY WITH DOCTORS, HEALTHCARE SYSTEMS AND HOSPICE Updated: October 13, 2017 Navigating the healthcare system, especially around
More informationAdvance Care Planning in Ontario
Advance Care Planning in Ontario By Judith A. Wahl B.A., L.L.B. Over the last few years, there has been an increased interest in advance directives from hospitals; long-term care facilities, community-based
More informationAdvance Directives The Missing Conversation Why Our Patients Children Are Left Holding The Bag. End of Life Planning Barriers 10/7/2014
Advance Directives The Missing Conversation Why Our Patients Children Are Left Holding The Bag SC Chapter American College of Physicians October 29, 2014 Sewell I. Kahn, MD FACP End of Life Planning Barriers
More informationA nursing intervention to assist in the management of breathlessness Meeting with Community Partners, Bayshore Friday November 9 th, 2007 Cathy
A nursing intervention to assist in the management of breathlessness Meeting with Community Partners, Bayshore Friday November 9 th, 2007 Cathy Kiteley Sharilee Cox-Arseneault Jennifer Parkins Welcome
More informationThe Way Forward Moving Towards an Integrated Palliative Approach to Care: Survey of GP/FPs and Nurses in Primary Care. Final Report, August 2014
The Way Forward Moving Towards an Integrated Palliative Approach to Care: Survey of GP/FPs and in Primary Care Final Report, August 2014 Table of Contents Page Research Objectives 3 Methodology 4 Executive
More informationDIY Fundraising Toolkit
DIY Fundraising Toolkit Contents Welcome... 3 Why breathing matters... 3 Lung Diseases... 4 The Right Fundraising Fit... 5 The Keys to Success... 6 Get others involved... 6 Set a goal... 6 Tools for you...
More informationWow ADVANCE CARE PLANNING The continued Frontier. Kathryn Borgenicht, M.D. Linda Bierbach, CNP
Wow ADVANCE CARE PLANNING The continued Frontier Kathryn Borgenicht, M.D. Linda Bierbach, CNP Objectives what we want to accomplish Describe the history of advance care planning Discuss what patients/families
More informationAdvanced Care Planning and Advanced Directives: Our Roles March 27, 2017
Advanced Care Planning and Advanced Directives: Our Roles March 27, 2017 2017 NPSS Asheville, NC Overview History of Advanced Directives Importance of Advanced Care Planning for Quality care Our Role in
More informationThe District of Columbia Death with Dignity Act (Patient Request for Medical Aid-in-Dying)
Office of Origin: I. PURPOSE II. A. authorizes medical aid in dying and allows an adult patient with capacity, who has been diagnosed with a terminal disease with a life expectancy of six months or less,
More informationChronic Diseases: Are you Addressing the Social Determinants of Health?
CNA Webinar Series: Progress in Practice Chronic Diseases: Are you Addressing the Social Determinants of Health? Joyce Douglas, RN Nurse Advisor, Canadian Nurses Association Patsy Smith, RN, MN Hatchet
More informationPalliative and Hospice Care In the United States Jean Root, DO
Palliative and Hospice Care In the United States Jean Root, DO Hello. My name is Jean Root. I am an Osteopathic Physician who specializes in Geriatrics, or care of the elderly. I teach and practice Geriatric
More informationMaking Your Wishes Known With the Help of the Five Wishes Document
Making Your Wishes Known With the Help of the Five Wishes Document Lora Rhodes, MSW, LSW Oncology Social Worker Department of Medical Oncology LBBC: Annual Conference for Women living with Metastatic Breast
More informationLIFE CARE planning. Advance Health Care Directive. my values, my choices, my care WASHINGTON. kp.org/lifecareplan
Advance Health Care Directive WASHINGTON LIFE CARE planning kp.org/lifecareplan All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 60418811_NW 500 NE Multnomah St., Suite
More informationISSUE BRIEF H. Patient's Medical Home model of family practice
ISSUE BRIEF H. Patient's Medical Home model of family practice Resolved, that the Patient s Medical Home be adopted as the preferred model of integrated primary care, and that appropriate resources be
More informationPOLST: What s New and How Can We Do Better? Pam Hiransomboon-Vogel, DNP, FNP-BC, ACHPN
POLST: What s New and How Can We Do Better? Pam Hiransomboon-Vogel, DNP, FNP-BC, ACHPN The OHSU Center for Ethics in Health Care and POLST Program, have no relevant financial relationships to disclose
More informationStart2Talk PLANNING AHEAD COMMUNITY AND HOME CARE TOOLKIT. Advance care planning (ACP) continuous quality improvement audit tool
Start2Talk PLANNING AHEAD COMMUNITY AND HOME CARE TOOLKIT Advance care planning (ACP) continuous quality improvement audit tool Planning ahead includes planning across a range of financial, health and
More informationSupplementary Material
10.1071/AH16234_AC CSIRO 2018 Australian Health Review 42(3), 266-271 Supplementary Material Community knowledge of law at the end of life: availability and accessibility of webbased resources Ben White
More informationJOINT STATEMENT ON PREVENTING AND RESOLVING ETHICAL CONFLICTS INVOLVING HEALTH CARE PROVIDERS AND PERSONS RECEIVING CARE
JOINT STATEMENT ON PREVENTING AND RESOLVING ETHICAL CONFLICTS INVOLVING HEALTH CARE PROVIDERS AND PERSONS RECEIVING CARE This joint statement was developed cooperatively and approved by the Boards of Directors
More information